Project Real

PROJECT REALITY'S CCBHC IMPROVEMENT AND ADVANCEMENT PROJECT TO EXPAND AND SUSTAIN CCBHC SERVICES - SINCE OUR OPENING IN 1970, PROJECT REALITY (PR) HAS SERVED INDIVIDUALS IN UTAH WITH A BROAD RANGE OF HEALTH ISSUES, INCLUDING PSYCHIATRIC AND SUBSTANCE USE DISORDERS (SUD), COMPLICATED BY SIGNIFICANT PSYCHO-SOCIAL STRESSORS, SUCH AS HOUSING INSTABILITY AND HOMELESSNESS, TRAUMA, AND LIMITED ACCESS TO RESOURCES. OUR CCBHC-E PROGRAM, AWARDED IN 2020, ENABLED PR TO EXPAND THE EXPERTISE OF ITS STAFF AND INCREASE ITS CAPACITY TO ADDRESS IMMEDIATE AND LONG-TERM NEEDS OF HIGH-RISK ADULTS, AS WELL AS OLDER ADOLESCENTS, WITH ANY SUDS DIAGNOSIS, PSYCHIATRIC ILLNESS, AND/OR PHYSICAL HEALTH CONDITION NOT ADEQUATELY SERVED IN TRADITIONAL HEALTHCARE SETTINGS. IN PR'S INITIAL YEAR OF CCBHC-E FUNDING, WE EXPANDED OUR SERVICES TO 266 UNDUPLICATED SPARS PATIENTS BETWEEN JUNE 1 - 2021 - FEBRUARY 14, 2022. DURING THIS FIRST GRANT YEAR, PR INCREASED STAFF TO ALLOW FOR THE EXPANSION OF OUR SERVICES, RESULTING IN 597 PATIENTS RECEIVING CARE FROM ONE OF OUR PROVIDERS AND 2,031 SCREENS BY PR STAFF. WE USED OUR PARTNERSHIPS TO OFFER COVID-19 TESTING TO 459 INDIVIDUALS AND VACCINATION TO 40 INDIVIDUALS AT OUR CLINICS. WE NOW OFFER MENTAL HEALTH AND PRIMARY CARE SERVICES, IN ADDITION TO OUR TRADITIONAL SUD AND OTP SERVICES TO ANY INDIVIDUAL IN NEED OF THESE SERVICES INCLUDING THOSE WHO CANNOT PAY. THE GOALS FOR THE CCBHC-IA GRANT ARE GOAL 1: AS A NEWLY ESTABLISHED CCBHC-E, WE WILL IMPROVE AND ADVANCE EFFORTS TO PROVIDE COMPREHENSIVE, INTEGRATED PRIMARY CARE, SUBSTANCE USE DISORDER (SUD) TREATMENT, MENTAL HEALTH (MH) SERVICES AND CRISIS CARE, ACCEPTING MH OR SUD PATIENTS REGARDLESS OF ABILITY TO PAY AND EXPANDING ACCESSIBILITY TO UNDERSERVED COMMUNITIES. IN ADDITION, WE WILL ACHIEVE FULL SUSTAINABILITY TO ENSURE DELIVERY OF SERVICES ONCE FEDERAL FUNDING ENDS. GOAL 2: INCREASE RETENTION AS MEASURED BY INCREASED PROGRAM ATTENDANCE AND REDUCED DROP-OUT RATES. ADVANCE AND EXPAND OUR CURRENT PROGRAMS THAT ARE TAILORED SPECIFICALLY TO POPULATIONS AT HIGH-RISK OF DROP-OUT AND PLACE PATIENTS WITH SEVER SUBSTANCE USE, STIGMATIZED MENTAL ILLNESS, FREQUENT HOSPITALIZATIONS, HOMELESSNESS, CRIMINAL JUSTICE SYSTEM INVOLVEMENT, AND OTHERS NOT RESPONDING WELL TO TRADITIONAL OUTPATIENT CARE IN A NEWLY CREATED FREE-STANDING FACILITY LOCATED IN THE DOWNTOWN AREA OF SALT LAKE CITY. WE PLAN TO SERVE 400 UNDUPLICATED PATIENTS THE FIRST 2 YEARS AND 450 UNDUPLICATED PATIENTS IN YEARS 3-4 WITH A TOTAL OF 1700 OVER THE FOUR YEARS OF THE PROJECT. WE PLAN TO IMPROVE AND ADVANCE THESE GOALS BY INCREASING ACCESSIBILITY, AVAILABILITY, AND UTILIZATION OF SERVICES BY INCREASING AND MAINTAINING OVERALL ENROLLMENT IN OUR PROGRAM TO OUR FULLEST CAPACITY. AS A PART OF THIS EXPANSION PR WILL INCREASE ACCESS TO INDIVIDUALS WITH SUD OR MH ISSUES BY 35%; WE WILL OPEN AND OPERATE A SATELLITE LOCATION IN UNDERSERVED AND RURAL POPULATION AREAS INCLUDING VETERANS; WE WILL STRATIFY THE POPULATION INTO TWO DISTINCT CATEGORIES BASED ON SEVERITY OF DISEASE AND CO-OCCURRING PSYCHIATRIC AND SOCIAL RISK FACTORS; INCREASE EVIDENCE BASED GROUP THERAPY FOR SPECIALIZED POPULATIONS; PARTNERING AND EMBEDDING A STAFF MEMBER IN THE SALT LAKE COUNTY JAIL RE-ENTRY PROGRAM. ADDITIONALLY, WE WILL HIRE NEEDED STAFF AND IMPROVE OUR DATA TRACKING SYSTEM. PR IS CURRENTLY ADHERING TO ALL THE REQUIRED ACTIVITIES OF A CCBHC AND WILL IMPROVE AND ADVANCE THOSE THAT WE IDENTIFIED IN OUR PROPOSAL.

PROJECT REALITY'S CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC - INTEGRATED CARE PROGRAM (CCBHC-ICP) EXPANSION - PROJECT REALITY’S (PR) “CERTIFIED COMMUNITY BEHAVIORAL CLINIC-INTEGRATED CARE PROGRAM” (CCBHC-ICP) EXPANSION, WILL SERVE AS A CATALYST TO INCREASE ACCESS TO PERSONAL AND FAMILY CENTERED, COMMUNITY-BASED INTEGRATED CARE SERVICES FOR INDIVIDUALS WITH UNTREATED SEVERE MENTAL ILLNESS AND/OR SUBSTANCE USE DISORDERS. PR WILL SCALE CURRENT SERVICES AND INCREASE COLLABORATIONS WITH DESIGNATED COLLABORATING ORGANIZATIONS TO RAPIDLY BECOME UTAH’S FIRST CCBHC. CCBHC-ICP WILL BE CONDUCTED BY PROJECT REALITY (PR), FOUNDED IN 1971, IS UTAH’S FIRST, AND MOST EXPERIENCED, NON-PROFIT, LICENSED SUBSTANCE ABUSE AND MENTAL HEALTH AGENCY WITH A 45-YEAR HISTORY OF PROVIDING COMPREHENSIVE ADDICTION MEDICINE SERVICES TO INDIVIDUALS WITH SEVERE IMPAIRMENT ACROSS ALL SPECTRUMS OF FUNCTIONALITY. REALITY IS HEADQUARTERED IN SALT LAKE CITY, UTAH, AND HAS CONSISTENTLY RECEIVED THE HIGHEST LEVEL OF ACCREDITATION FROM THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF). PROJECT REALITY’S MISSION IS TO PROVIDE INTEGRATED CARE SERVICES TO SEVERELY AND CHRONICALLY SUBSTANCE DEPENDENT ADULTS, VETERANS, LOW-INCOME AND UNDERSERVED POPULATIONS, AND TO PROVIDE PREVENTION SERVICES DESIGNED TO AMELIORATE RISK FACTORS AND ENHANCE RESILIENCY FACTORS IN ADULTS, YOUTH AND CHILDREN. PR PROPOSES TO SERVE AN ADDITIONAL 300 TARGET POPULATION INDIVIDUALS EACH YEAR, NEARLY A 30% INCREASE, WITH 100 INDIVIDUALS BEING CURRENT PATIENTS (600 MORE INDIVIDUALS OVER ENTIRE PROJECT PERIOD). FOR THE FIRST PROJECT GOAL, PR WILL PROVIDE ACCESS TO A 24/7 COMPREHENSIVE COLLECTION OF COMMUNITY BASED MENTAL AND SUBSTANCE USE DISORDER SERVICES, INTEGRATING TREATMENT OF CO-OCCURRING DISORDERS AND PHYSICAL HEALTHCARE IN THE CATCHMENT AREA AND ACCEPTING PATIENTS REGARDLESS OF ABILITY TO PAY. TO MEET THIS GOAL, PR’S CCHBC-ICP WILL INCREASE THE NUMBER OF MEDICAL AND PSYCHOSOCIAL PROVIDERS ON STAFF TO PROVIDE PRIMARY HEALTHCARE SERVICES; INCREASE 24/7 ACCESSIBILITY TO INTEGRATED CARE SERVICES BY HIRING TWO INTEGRATED CARE SPECIALISTS TO COORDINATE CARE AND IMPROVE COLLABORATION WITH UNIVERSITY OF UTAH’S NEUROPSYCHIATRIC INSTITUTE MOBILE CRISIS OUTREACH TEAM (MCOT) AND SALT LAKE COUNTY’S ASSERTIVE COMMUNITY TEAM (ACT). THE PROJECT WILL REDUCE BARRIERS BY ADDRESSING THE LACK OF AWARENESS TO TREATMENT BY INCREASING COMMUNITY KNOWLEDGE OF CCHBC-INTEGRATED CARE PROGRAM BY INCREASING MARKETING, CONDUCTING STREET OUTREACH, AND PROVIDING FREE, OPEN HOUSE PUBLIC EDUCATION SEMINARS. FOR THE SECOND GOAL, PR WILL IMPROVE THE QUALITY OF COMMUNITY MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT SERVICES BY BECOMING A CERTIFIED COMMUNITY BEHAVIORAL CLINIC WHILE EXPANDING UPON A “HEALTH HOME” CONCEPT AND MEETING THE CCHBC CRITERIA COMPLIANCE CHECKLIST. TO DO THIS, PR WILL EXPAND COORDINATING WITH LOCAL JUSTICE PROVIDERS TO NEGOTIATE WAYS TO BRIDGE TREATMENT AND LEGAL SANCTIONS/INCARCERATION; SCALE THE PARTNERSHIP WITH USARA TO FUND A SECOND RECOVERY SUPPORT SPECIALIST; INCREASE ACCESSIBILITY TO PRIMARY CARE SERVICES, “HEALTH HOME”, BY HIRING TWO MORE PRIMARY CARE PROVIDERS AND PERTINENT SUPPORTING STAFF; UTILIZE TECHNICAL ASSISTANCE TO ACHIEVE THE HIGHEST QUALITY CARE; IDENTIFY THE CCHBC CRITERIA COMPLIANCE AREAS NOT PROVIDED DIRECTLY AND ESTABLISH DCO RELATIONSHIPS TO CERTIFY PROJECT REALITY’S CCBHC-ICP; EXPAND CURRENT SERVICES OFFERED TO PATIENT FAMILIES’ BY HIRING AND TRAINING STAFF MEMBERS TO PROVIDE MENTAL HEALTH SERVICES TO CHILDREN AND ADOLESCENTS; SCALE VETERAN-SPECIFIC PROGRAMMING BY TRAINING CURRENT STAFF ON VET ISSUES AND HIRING A VETERAN'S INTEGRATED CARE SPECIALIST TO COORDINATE CARE; FORMALIZE THE CURRENT ADVISORY WORK GROUP; AND IMPROVE THE REFERRAL SYSTEM WITH OPTUM TO COMPLETE ASSERTIVE COMMUNITY TREATMENT.

PROJECT REALITY?S MAT EXPANSION PROJECT (PR-MAT-EP)

PROJECT REALITY HEPATITIS C PROJECT